Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:1251] From: [AUTHOR UNKNOWN] / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Dunbar (Patient) / 2 March 1776 / (Incoming)

Letter from Andrew Liddell updating Cullen on the case of Mr Dunbar. He informs Cullen that since his previous letter, the patient 'was seized with a return of these Pains of his Belly', and that the patient was now unable to walk or stand.

Facsimile

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[Page 2]


 

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Metadata

FieldData
DOC ID 1251
RCPE Catalogue Number CUL/1/2/351
Main Language English
Document Direction Incoming
Date2 March 1776
Annotation None
TypeAuthorial original
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Letter from Andrew Liddell updating Cullen on the case of Mr Dunbar. He informs Cullen that since his previous letter, the patient 'was seized with a return of these Pains of his Belly', and that the patient was now unable to walk or stand.
Manuscript Incomplete? No
Evidence of Commercial Posting Yes

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:438]
Case of Mr Alexander Dunbar, adolescent son of Captain Dunbar of Westfield who has been 'subject to irregular & wandering Pains of his Belly' since infancy and who develops severe back pain, dizziness and an inability to stand.
5


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AddresseeDr William Cullen (Professor Cullen)
[PERS ID:1721]PatientMr Dunbar
[PERS ID:339]Patient's Physician / Surgeon / ApothecaryMr Andrew Liddell (Liddle)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Thurso North Highlands Scotland Europe certain
Destination of Letter Edinburgh Edinburgh and East Scotland Europe certain
Place of Handstamp Thurso North Highlands Scotland Europe certain

Normalized Text

[Page 1]
Dear Sir,


About a week after I had sent you the Informa¬
tion of Mr Dunbars Case, he was seized with a return --
of these Pains of his Belly: And they were now attended
with a New Symptom: He was become unable to --
walk
or even stand on his Legs. This Inability he --
described as proceeding from a weakness of the lower
extremities
, accompanied with a Dizziness, Sickishness
or pain to knees, when he made an effort to overcome the
weakness by attempting to stand up. --- I observed that
he could, when sitting in his chair, use his limbs with ease
& move them in any direction, & that his Spirits & Looks
were good: But when raised up & helped to move forwards
his Legs dragged after him, & he complained of the Diz¬
ziness
and being faintish, tho' with little change of colour
in his countenance or sinking of his Pulse. -- When ---
replaced in his chair the uneasiness soon went off.


--- I gave him again the Powdered Stanni, of which he took 2 oz.
in 6 Days, & a Spoonful of strong Tincture of Pine every morning
but he discharged no worms. Strong Physic now excited most
violent pains, so I was obliged to confine him to the use --
of Flowers Sulphur, to procure a loan 1 stool every day while he
took the Tin, & since he uses it to prevent Costiveness
at present the pains of his Belly are not very violent; but
the swelling comes & goes as formerly, & he complains



[Page 2]

frequently of Sickness, by which he does not mean nausea
but rather some sensation in his Stomach or Intestines which
he knows not how to describe, at the same time he is
generally in good spirits: His Appetite is not good: His
Pulse is seldom above 70, & often below 60, & full enough.
The weakness of his Limbs has lasted a fortnight & still
continues. It (He) has had no startings in his Sleep since.


I was yesterday favoured with your Opinion, & think
it necessary to acquaint you immediately of the above ---
circumstances, as they may serve to discover somewhat
farther in the nature of this Case. --- In the mean time,
as the Patient complains so much of the very painful
effects of strong Physic, & also on account of his present
weakness, I shall give him only the Limat. Martis, &
defer the Gamboge & Calomel till I have your farther --
advice. -- I am always with the greatest respect &
regards.


Dear Sir
Your most obedient & very humble Servant
Andrew Liddell
Thurso 2d March 1776



[Page 3]


To
Doctor William Cullen
Physician
Edinburgh


Mr Liddell q
Mr Dunbar.
March 1776
Vol. IV. p. 135.

Notes:

1: This is the most likely reading for what is probably a phonetic spelling of "lone".

Diplomatic Text

[Page 1]
Dear Sir,


About a week after I had sent you the Informa¬
tion of Mr Dunbars Case, he was seized with a return --
of these Pains of his Belly: And they were now attended
with a New Symptom: He was become unable to --
walk
or even stand on his Legs. This Inability he --
described as proceeding from a weakness of the lower
extremities
, accompanied with a Dizziness, Sickishness
or pain to knees, when he made an effort to overcome the
weakness by attempting to stand up. --- I observed that
he could, when sitting in his chair, use his limbs with ease
& move them in any direction, & that his Spirits & Looks
were good: But when raised up & helped to move forwards
his Legs dragged after him, & he complained of the Diz¬
ziness
and being faintish, tho' with little change of colour
in his countenance or sinking of his Pulse. -- When ---
replaced in his chair the uneasiness soon went off.


--- I gave him again the P. Stanni, of which he took 2 oz.
in 6 Days, & a Spoonful of strong Tincture of Pine every morning
but he discharged no worms. Strong Physic now excited most
violent pains, so I was obliged to confine him to the use --
of F. Sulphur, to procure a loan 1 stool every day while he
took the Tin, & since he uses it to prevent Costiveness
at present the pains of his Belly are not very violent; but
the swelling comes & goes as formerly, & he complains



[Page 2]

frequently of Sickness, by which he does not mean nausea
but rather some sensation in his Stomach or Intestines which
he knows not how to describe, at the same time he is
generally in good spirits: His Appetite is not good: His
Pulse is seldom above 70, & often below 60, & full enough.
The weakness of his Limbs has lasted a fortnight & still
continues. It (He) has had no startings in his Sleep since.


I was yesterday favoured with your Opinion, & think
it necessary to acquaint you immediately of the above ---
circumstances, as they may serve to discover somewhat
farther in the nature of this Case. --- In the mean time,
as the Patient complains so much of the very painful
effects of strong Physic, & also on account of his present
weakness, I shall give him only the Limat. Martis, &
defer the Gamboge & Calomel till I have your farther --
advice. -- I am always with the greatest respect &
regards.


Dear Sir
Your most obedt. & very h. Servt.
Andrew Liddell
Thurso 2d March 1776



[Page 3]


To
Doctor William Cullen
Physician
Edinburgh


Mr Liddell q
Mr Dunbar.
March 1776
Vol. IV. p. 135.

Notes:

1: This is the most likely reading for what is probably a phonetic spelling of "lone".

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